Abstract

Published guides for the practice of cognitive behavioral therapy (CBT) include a range of recommendations for the use of Socratic dialogue (or Socratic questioning) and guided discovery. While it is accepted that a specific dialogue process can be useful to support the way a therapist develops a cognitive case conceptualization (or case formulation), structures a session, or uses techniques, the stylistic aspects of Socratic dialogue remain unclear. In particular, the role of collaboration in the dialogue process has not been clearly articulated in the literature to date. Reaching expert consensus on the ideal conditions for the use of Socratic dialogue can guide further empirical study, including the design of a much needed complete and accurate assessment of therapist skill in its use. This article summarizes the findings, conclusions, and recommendations of a second expert panel on these specific features of Socratic dialogue in order to guide further empirical study.

Keywords

The authors acknowledge the scientific committee of the 8th International Congress of Cognitive Psychotherapy held in Hong Kong June 24–27, 2014, who supported this second expert panel discussion. The senior author also acknowledges the scholarly discussions of Frank Dattilio, Christine Padesky, and in particular, Mathew E. Stuckey. Dr. Stuckey also provided feedback on a previous version of this manuscript.

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